A LIFESPAN DEVELOPMENTAL ANALYSIS OF RECIPROCAL RELATIONS BETWEEN HEAVY DRINKING AND SLEEP PROBLEMS

Abstract In recent years, numerous studies have begun to explore the ways in which problem drinking behavior is affected by different lifespan developmental changes. However, while there currently exists a plethora of research on adolescence and young adulthood, there is far less research with midlife and older adults examining lifespan developmental changes and problem drinking. As part of larger NIAAA-funded project investigating aging, health, and alcohol use, the current study investigated cross-sectional and longitudinal associations among heavy drinking and sleep problems in a sample of midlife and older adults. One particularly noteworthy analysis used path analysis in Mplus to test a longitudinal moderated mediation model involving sleep problems, sleep-related motives for drinking, and heavy drinking. Results showed an interaction between sleep problems and sleep-related drinking motives. Interestingly, sleep problems appear to significantly reduce the risk for heavy drinking among most participants. However, when combined with high sleep-related drinking motives, sleep problems appear to significantly increase risk for heavy drinking. This phenomenon may help explain the occasionally contradictory results found in previous studies examining the impact of sleep disturbances on drinking behavior and may prove to be an area worth investigating in future studies. From a lifespan-developmental perspective, these findings highlight how there are likely important differences across stages of adulthood in the most relevant factors that affect heavy drinking. Health-related factors including sleep problems, coupled with motives to use alcohol to cope with such problems, appear to be a pathway to heavy drinking that increases in importance across the adult lifespan.

psychological symptoms of dementia and improvement in mood, memory, and well-being.Most studies have relied on observational data, standardized clinical scales, and self-or caregiver-reported perceptions of the effects of personalized music.Passively-collected physiological data may minimize researcher bias during data interpretation.We tested the protocol on 15 participants, triangulating the physiological, observational, and self-reported effects of personalized music on stress.Physiological measures were captured by a wearable wristband Empatica E4 and included heart rate, electrodermal activity, and temperature.Self-reported measures included the Perceived Stress Scale, level of stress on a 0-10 scale, and reactions to each song (happy, energized, calm, relaxed, nostalgic, sad, excited).Prior to music listening, we induced stress through three iterations of the Trier Mental Challenge Test, which involves three minutes of math exercises.Participants reported their level of stress after the Trier Test and after each song.Researchers observed participant reactions during each song.Preliminary analysis shows that nine minutes of a stress-inducing activity was enough to capture stress reactions and demonstrated a feasible protocol for collecting physiological, observational, and self-report data.These results inform the development of a novel protocol that responds to a person's stress levels through a personalized music listening intervention.In recent years, numerous studies have begun to explore the ways in which problem drinking behavior is affected by different lifespan developmental changes.However, while there currently exists a plethora of research on adolescence and young adulthood, there is far less research with midlife and older adults examining lifespan developmental changes and problem drinking.As part of larger NIAAA-funded project investigating aging, health, and alcohol use, the current study investigated cross-sectional and longitudinal associations among heavy drinking and sleep problems in a sample of midlife and older adults.One particularly noteworthy analysis used path analysis in Mplus to test a longitudinal moderated mediation model involving sleep problems, sleep-related motives for drinking, and heavy drinking.Results showed an interaction between sleep problems and sleep-related drinking motives.Interestingly, sleep problems appear to significantly reduce the risk for heavy drinking among most participants.However, when combined with high sleep-related drinking motives, sleep problems appear to significantly increase risk for heavy drinking.This phenomenon may help explain the occasionally contradictory results found in previous studies examining the impact of sleep disturbances on drinking behavior and may prove to be an area worth investigating in future studies.From a lifespandevelopmental perspective, these findings highlight how there are likely important differences across stages of adulthood in the most relevant factors that affect heavy drinking.Healthrelated factors including sleep problems, coupled with motives to use alcohol to cope with such problems, appear to be a pathway to heavy drinking that increases in importance across the adult lifespan.

MENTAL HEALTH AND PSYCHOSOCIAL WELL-BEING
Abstract citation ID: igad104.2869

EFFECTS OF CIVIC BEHAVIOR AND DEPRESSION KNOWLEDGE ON DEPRESSION STIGMA AMONG OLDER CHINESE: A PATH ANALYSIS MODEL
Jessie Ho-Yin Yau, Tianyin Liu, Dara Kiu Yi Leung, Jennifer Yee-man Tang, Gloria Hoi-Yan Wong, and Terry Lum, The University of Hong Kong, Hong Kong, Hong Kong Older adults are at risk of experiencing depression personal stigma because of negative attitudes towards older persons and the creation of popular stereotypes, therefore reducing stigma becomes necessary.By receiving training and acquiring depression knowledge from engaging in civic behavior, such as providing voluntary services to peers in the community, these knowledge helps counter false assumptions and reduce personal stigma.However, previous stigmarelated studies mainly conducted in Western countries and in relation to schizophrenia, research on depression stigma among older Chinese remain scarce.The goal of this study was to examine depression knowledge as a moderator to test its influence on the relationship between civic behavior and personal stigma.A cross sectional survey was conducted with 145 older adults in Hong Kong, they completed Older Adult Mental Health First Aid training and engaged in voluntary services related to mental health promotion after the training.Civic behavior, depression knowledge (symptoms, facts, myths), personal stigma (stereotype, prejudice, discrimination), and demographics were collected.Path analysis was performed to determine the structural relationship between the variables.Civic behavior positively affected symptoms (β=.089,p=.008)and facts (β=.088,p=.001).Symptoms negatively affected prejudice (β=-.627,p=.014).Facts negatively affected all dimensions of personal stigma while myths positively affected all dimensions of personal stigma.Results of the measurement showed an excellent fit (χ2 = 148, χ2 /df = 7.048, RMSEA = .029,SRMR = .023,CFI = 0.997, TLI = 0.98, p<.001).Mediating effects were computed by bootstrap method; facts as a significant mediation was confirmed.Findings and implications were discussed.

ELDER ABUSE, ANXIETY, AND SOCIAL SUPPORT: DOES GENDER MATTER? Sukyung Yoon, University of Wyoming, Laramie, Wyoming, United States
Elder abuse is a serious social justice violation and a public health concern that impacts victims' mental and physical health worldwide.In the U.S., about 11.7% of older adults have reported elder abuse each year, but the rate is underestimated due to underreporting (Dong, 2015).To date, research on elder abuse has focused mostly on risk factors rather than protective factors (Storey, 2020).Some risk factors are beyond one's control, such as physical and cognitive dysfunctions, but identifying both risk and protective factors will help healthcare professionals intervene more effectively (Yoon & Cummings, 2019).The research aims were to investigate 1) the impact of elder abuse on anxiety among community-dwelling older adults who experienced elder abuse, 2) the effects of social support on anxiety among older adults, and 3) the differences in the impact of elder abuse, anxiety, and social support between older men and women.This study used data from the Wisconsin Longitudinal Study (WLS), Wave 3. Structured equation modeling was used for the analysis.The independent variable was the experience of elder abuse, the dependent variable was anxiety, and the intervening variable was social support.The control variables were income, physical health, and marital status.The experience of elder abuse had a positive association with anxiety, however; social support had a negative association with anxiety.Multi-group analysis was conducted to investigate gender differences.Measurement invariance was examined by comparing unconstrained and fully constrained models.Both models were good fits.Gender differences were identified.Implications will be discussed.

GENDER-SPECIFIC ASSOCIATION BETWEEN DEPRESSION AND MORTALITY IN KOREAN OLDER ADULTS: A LONGITUDINAL STUDY
Jungwon Cho, Jae Jun Lee, and Eunhee Cho, Yonsei University College of Nursing, Seoul, Republic of Korea Late-life depression has become a significant public health problem because it adversely affects physical health, social function, and quality of life.Therefore, prevention and treatment of depression are necessary.Previous studies have indicated that depression in older adults is associated with mortality.However, research on mortality according to gender differences has not been actively conducted.Thus, this study aims to investigate gender differences between depression and mortality among Korean older adults.The data were collected from the Korean Longitudinal Study of Aging (KLoSA), which performed a nationwide aging panel survey for adults aged over 45 years between 2006 and 2020.Out of 10,254 participants, this study included 3,689 participants who were aged 65 or older and assessed depression through CESD-10.The Cox proportional-hazards model was used to calculate Hazard Ratios (HR) for mortality stratified by gender.Of the 1,599 male and 2,090 female older adults, depression was significantly higher in females (16.7%) than in males (8.8%).However, the effect of depression on mortality was significant only in males (male: HR = 1.50, 95% CI = 1.19-1.89;female: HR = 1.10, 95% CI = 0.93-1.31).Depression is more common in females, whereas the effect of depression on mortality was only significant in males.This suggests that health providers need to prevent and care for depression to decrease mortality, especially in males.Further studies are needed to explore the reasons for gender differences between depression and mortality and develop interventions to manage depression in older adults.